期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

International Journal of Clinical Research. 2023; 7: (12) ; 69-72 ; DOI: 10.12208/j.ijcr.20230372.

To analyze the effect of microsurgical repair surgery for the treatment of calf and foot and ankle severe trauma
分析显微外科修复手术用于小腿及足踝部严重性创伤治疗的效果

作者: 朱文龙 *, 杜秉强

山东健康集团枣庄中心医院 山东枣庄

*通讯作者: 朱文龙,单位:山东健康集团枣庄中心医院 山东枣庄;

发布时间: 2023-12-29 总浏览量: 226

摘要

目的 探究小腿及足踝部严重性创伤患者以显微外科修复手术治疗的效果。方法 选择2021年1月~2022年12月间,本院收治的小腿及足踝部严重性创伤患者100例作为研究对象。设计对照研究,抽签法随机分组,50例/组。对照组以传统修复术治疗,观察组以显微外科修复术治疗。比较两组:(1)治疗效果。(2)术后并发症发生率。(3)术后疼痛得分。(4)足踝功能恢复优良率。结果 (1)治疗效果中,观察组有效率98.00%,较对照组高(χ2=4.8913;P<0.05)。(2)术后并发症中,观察组发生率0.00%,较对照组低(χ2=4.1667;P<0.05)。(3)疼痛感中,观察组术后第1 d VAS得分为(3.20±0.98)分、术后第3 d VAS得分为(2.02±0.63)分、术后第7 d VAS得分为(1.04±0.35)分,较对照组低(T=4.8672;T=7.0037;T=9.9994;P<0.05)。(4)足踝功能中,观察组恢复优良率80.00%,较对照组高(χ2=4.7619;P<0.05)。结论 小腿及足踝部严重性创伤治疗中,显微外科修复手术治疗效果良好,可促进患者康复,且术式安全性更高,术后患者应激反应更轻,值得推广。

关键词: 小腿及足踝部严重创伤;显微外科修复手术治疗;治疗效果;术后并发症发生率;术后疼痛得分;足踝功能恢复优良率

Abstract

Objective To explore the effect of patients with severe leg and ankle trauma.
Methods 100 patients with severe calf and ankle trauma between January 2022 period were selected from December 2021. A controlled study was designed, with lottery method for randomization, 50 cases / group. The control group was treated with conventional repair, and the observation group was treated with microsurgical repair. Compare the two groups: (1) the treatment effect.(2) Postoperative complication rate.(3) Postoperative pain score.(4) The excellent rate of foot and ankle function recovery.
Results (1) In the treatment effect, the response rate of the observation group was 98.00%, higher than that of the control group (χ2=4.8913; P <0.05).(2) Among the postoperative complications, the incidence rate in the observation group was 0.00%, which was lower than that in the control group (χ2=4.1667; P <0.05).(3) In pain, the observation group scored 1 dVAS (3.20 ± 0.98), 3 d VAS (2.02 ± 0.63), and 7 dVAS (1.04 ±. 0.35), which was lower than the control group (T=4.8672; T=7.0037; T=9.9994; P <0.05).(4) In the foot and ankle function, the excellent recovery rate of the observation group was 80.00%, which was higher than that of the control group (χ2=4.7619; P <0.05).
Conclusion   In the treatment of severe calf and ankle trauma, microsurgical repair surgery has good effect, which can promote the recovery of patients, and the surgical safety is higher, and the postoperative stress response of patients is lighter, which is worth popularizing.

Key words: Severe trauma of lower leg and ankle; Microsurgical repair; Treatment effect; Incidence of postoperative complications; Postoperative pain score; Excellent recovery of foot and ankle function

参考文献 References

[1] 姜保国,徐海林. 重视足踝部创伤的临床研究[J]. 中华创伤骨科杂志,2019,21(4):277-278. 

[2] 赵建国,孙晋客. 足踝部创伤后严重缺损感染创面的修复治疗方案研究[J]. 山西医药杂志,2020,49(18):2463-2465. 

[3] 陈波. 显微外科技术游离移植修复足踝部软组织缺损的疗效[J]. 中国医药指南,2019,17(3):81-82.

[4] 贺林伸. 显微外科修复术在创伤性小腿软组织缺损治疗中的应用[J]. 中国现代医药杂志,2019,21(5):75-76.

[5] 吴春,谭莉,林涧,王正理,戴本东,潘小建.游离不带阔筋膜的ALTPF修复小儿足踝部软组织缺损[J].中华显微外科杂志,2021,44(3):335-338.

[6] 罗灏.显微外科治疗小腿骨折合并软组织缺损的研究[J].中国继续医学教育,2019,11(21):85-87

[7] 蒋云峰.显微外科治疗足踝部软组织缺损及骨外露研究[J].中国继续医学教育,2019,11(22):91-93.

[8] 李慧,李达,李晓芳. 显微外科治疗足踝部软组织缺损及骨外露探究[J].当代医学,2022,28(36):102-105.

[9] 程忠勇,梁智荣,麦家晖,等. 游离股前外侧皮瓣移植修复足踝部复合组织缺损的临床观察[J]. 实用医技杂志, 2019, 26(10):1307-1308. 

[10] 臧怡宁,隋启军,邢耀文,范春海.胫前动脉踝上穿支皮瓣修复足踝部软组织缺损28例效果分析[J].河南外科学杂志,2021,27(6):152-153.

[11] 谭慎兴,卢小生,曹哲,等. 小腿外侧肌皮穿支皮瓣修复足踝部软组织缺损的临床疗效[J]. 中华医学美学美容杂志, 2020,26(4):335-337.

[12] 王光楠,陈艳,李垒,金敬一,魏永兴.显微外科修复手术治疗小腿及足踝部严重性创伤的效果研究[J].中国实用医药,2020,15(21):86-87.

引用本文

朱文龙, 杜秉强, 分析显微外科修复手术用于小腿及足踝部严重性创伤治疗的效果[J]. 国际临床研究杂志, 2023; 7: (12) : 69-72.